Academic journal article Nursing Education Perspectives

Creating Responsive Solutions to Healthcare Change

Academic journal article Nursing Education Perspectives

Creating Responsive Solutions to Healthcare Change

Article excerpt

Creating Responsive Solutions to Healthcare Change edited by Cynthia S. McCullough, MSN, RN; Indianapolis, IN: Center Nursing Press, 2001: 264 pages, $29.95

This very readable book about facility planning will resonate with senior health care administrators and will be a valuable asset to students in nursing and health services administration. The book is organized so that the reader can logically follow the project management process as it is applied to facilities design and integrated with the process of determining what services will be offered and how care will be delivered. While the book does not specifically label this approach as project management, this is the essence of the process described.

Through a review of health services evolution, population-based planning, and computer-based scenario modeling methods, consideration is given to determining the identification of service lines, care delivery models, and supportive technology as the template upon which the physical facility should be designed. Using project management process with planned stakeholder involvement, much of the book is about designing health care facilities to meet future needs.

Historical development and trends set the stage for discussing initiatives leading to the current managed care environment. Tables outlining the evolution of care as a business model enterprise and the influence of larger trends, such as technology and diagnostic advances, provide a succinct means of identifying key movers in the redesign of health care and health care facilities. The perspective of population-based planning is used as a process for considering current and future health care resources as a means of framing organizational priorities to impact quality of care and clinical outcomes. The importance of data in this type of planning is emphasized with a good description of computer-based scenario modeling. Supportive figures are helpful in outlining the process, and scenarios are used to give the reader practice in applying option selection.

From choosing service lines to selecting and implementing a care delivery model, planning for change is the constant message. In this vein, an overview of care models is given and elements useful to model selection and implementation are reviewed. …

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